Content by Keyword: Nursing Homes

Most of the stakeholders contacted believed that the program as a whole was very beneficial. Feedback from providers that is collected on evaluation forms following technical assistance visits by the QIPMO nurses was overwhelmingly positive. A facility director of nursing expressed that "QIPMO visits are free, not punitive, supportive and encourag

The Missouri Quality Improvement Program for Missouri (QIPMO) is an on-site clinical consultation program intended to assist nursing homes with their quality improvement programs. There are several distinctive features of the QIPMO program:

Marilyn Rantz states that the guiding principle of QIPMO is that "things can be done differently." She explains that much of the care provided in nursing homes is routine and is provided the way it is simply because "it's always been done that way." The QIPMO nurses challenge facilities to think about care planning differently and to make changes

In order to compare Missouri's nursing home industry with the other study states, we present some descriptive characteristics. There are 552 facilities in Missouri (AHCA web site) with 38,671 residents reported as of Spring 2001. The average number of beds per facility is 99, which is slightly lower than the national average of 108. Missouri's ave

AHCA. State Summaries of Nursing Facilities, 2001. www.ahca.org/research/keynotes/statefactsheets-2001.pdf.
Time Magazine. Fatal Neglect: In possible thousands of cases, nursing home residents are dying from a lack of food and water and the most basic level of hygiene. October 27, 1997.
U.S. General Accounting Office. California Nurs

The project team was impressed with the level of support that most QIPs received from the various providers that participated in our discussions. The general attitude expressed was that most of the QIPs introduced in the Nursing Home Reform package were feasible, appropriately directed, and able to be implemented by most (if not all) nursing facil

There was no discussion among those we spoke to of any of the nursing home reform legislation being repealed, or any quality initiatives being at risk of termination due to budget cuts or other reasons. This lack of discussion or concern, combined with a generally positive attitude among the provider community about the quality initiatives, indica

Maryland also established one of the first state public reporting tools. In 1999, the Maryland General Assembly established the Maryland Health Care Commission (MHCC) to carry out several health care reforms in the state, including development of information on nursing home quality. The MHCC worked with the Department of Health and Mental Hygiene

OHCQ is working with nursing homes and hospitals to ensure preventive measures for decubitus ulcers, particularly when residents are transferred between nursing homes and hospitals. Plans include a quality assurance seminar, with facilities developing their own QA plan and follow-up taking place in three to six months, along with recognition for

The OHCQ examined quality indicators (QIs) for contractures, restraints, and pressure sores for all facilities, and identified 165 nursing homes that had one or more rates that were significantly higher than the state and national averages. Each home was notified in April 2001 and asked to review the quality indicator data and, if appropriate, de

The goal of this regulation is to improve physician accountability in nursing homes. It includes detailed regulations covering physician responsibility for assessment, visits, orders, documentation, the provision of appropriate care and adequate coverage.

In addition to the previously existing federal regulations, the Department has established a health care quality account funded by civil money penalties paid by nursing homes. Expenditure of the funds can be made for any purpose that will directly improve quality of care in nursing facilities and may include funding for the establishment and oper

Comments from the provider associations and the survey agency, and the language of the legislature, all differ in the emphasis that they place on the various components of the quality improvement programs. There were clearly additional regulations introduced to strengthen the survey agency's oversight and ability to sanction; at the same time, pro

The impetus for the enactment of the Maryland quality improvement programs in 2000 as explained by the provider associations and the survey agency appears to have been based on a series of events and activities that occurred both within and outside the state in the preceding ten years. Beginning in 1989, deplorable conditions existing in a Marylan

Following the completion of the literature review, discussions with stakeholders and the meeting of the Technical Advisory Group, Maryland was identified as one of seven states meeting the project criteria for states with state-initiated quality improvement programs. These criteria include (1) having state-initiated programs in place, (2) having

In order to put Maine in context with other study states, we have included some descriptive characteristics of the state's nursing home environment. Comparative data presented are from the American Health Care Association (AHCA) website (AHCA, 2002). There are 126 facilities in Maine, with 7,309 residents reported as of Spring 2001. The average nu

Budgetary issues emerged as having a significant impact on the department's current programs and plans for future quality improvement programs. Iowa had experienced a 4.6 percent cut in last year's budget, plus additional cuts that amount to about 4.6 percent for this year. Despite the Governor's support for long-term care issues (he introduced a

Dr. Tooman explained that he prefers that the Federal Government take the lead on providing "technical advisement" to states and facilities on quality-based cultures and organizational processes. Although the Quality-Based Inspections program, based on the Baldrige criteria was less than successful in Iowa because of its complexity and the limite

Except for the Quality-Based Inspections program, discussion participants did not identify any programs noted as unsuccessful or at risk of discontinuation. The department places great importance on making information available to consumers. There were no plans to add additional items (e.g., staffing information or MDS quality indicators) to the N

This section includes a brief description of each of Iowa's quality improvement programs followed by a discussion of program funding, governance and the management and staffing structure. The following quality improvement programs were reviewed:

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